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SEPTIC SYSTEM INVENTOR Y <br />Address: 625 Old Long Lake Rd. PID: 36-117-23 32 0003 <br />Building Typexesidence BRs Install'd for: 3 In Musa: No <br />Permit #: 178 Date of Permit: 10/1/62 Installer: Rotorooter <br />System Type: standard trench Experimental: no Tank Filter: <br />SYSTEM CONDITION <br />Conformity: 3 Tank Condition: 6 DF condition: 11 Failure Pot: medium <br />SEPTIC TANKS <br />Material: concrete block Capacity: 700 <br />Setback to Bldg: 20 Cesspool: unknown <br />DRAINFIELD <br />Length of Lines: # Lines: Trench Width: <br />Treatment Area: Type of Filter: Soil Boring: yes <br />Tile Size: Under Tile: Perc Rate: <br />Setback DF -Bldg: 30 DF Ht above Wt: 0 <br />Soil Type: Limitations: water table <br />WELL DATA <br />Setbacks - Well -Tanks: 50 Well -DF: 75 Report in File yes <br />Pump Type: subm. Depth: 137 Diameter: 4 Method: drilled <br />INSPECTION RECORD <br />DATE <br />DESCRIPTION <br />COMPLIANCE <br />5/14/80 <br />no surfacing <br />2 <br />7/23/86 <br />no surfacing <br />2 <br />8/18/88 <br />no surfacing <br />2 <br />9/24/90 <br />no surfacing <br />2 <br />10/23/92 <br />no surfacing -pump tanks <br />2 <br />10/21/94 <br />no surfacing <br />2 <br />10/30/98 <br />non-compliant <br />3 <br />5/15/00 <br />non-compliant, repair by 12/31/2010 <br />3 <br />9/24/02 <br />non-compliant,replace by 12/31/2010 <br />non-compliant <br />J- n <br />4-S O S <br />PUMPOUTRECORD <br />DATE <br />GALLONS <br />8/29/88 <br />1000 <br />5/17/93 <br />1000 <br />9/23/02 <br />1000 <br />